Employment Application


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Please submit application below and/or email resume to info@farmshopllc.com


APPLICANT INFORMATION
Name *
Name
Address *
Address
Phone *
Phone
Date available to start *
Date available to start
Answering yes to these questions does not constitue an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
EDUCATION HISTORY
SKILLS/QUALIFICATIONS
PREVIOUS EMPLOYMENT (BEGIN WITH MOST RECENT POSITION)
From:
From:
To:
To:
Employer Phone
Employer Phone
From
From
To
To
Employer Phone
Employer Phone
From
From
To
To
Employer Phone
Employer Phone
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release FarmShop, LLC from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of FarmShop, LLC has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized FarmShop, LLC representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American's with Disabilities Act (ADA) and other relevant federal and state laws.